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Medicaid Program Integrity Jobs in Alabama (NOW HIRING)

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ... Employee Wellness Program * Training and Development Programs to develop new skills and reach ...

Gentiva

Afterhours Care Manager RN

Vestavia Hills, AL · On-site

$80 - $100/hr

Graduate of an accredited nursing program * Minimum one year of RN experience in acute care ... Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes

Gentiva

Afterhours RN Care Manager

Clanton, AL · On-site

Graduate of an accredited nursing program * Minimum one year of RN experience in acute care ... Ability to maintain confidentiality, demonstrate integrity, and support quality outcomes

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All JobsMedicaid Program Integrity JobsMedicaid Program Integrity Jobs in Alabama

Medicaid Program Integrity information

What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?

AspectMedicaid Program IntegrityMedicaid Claims Examiner
Primary FocusDetecting and preventing fraud, waste, and abuse in Medicaid programsReviewing and processing Medicaid claims for accuracy and compliance
Required CredentialsTypically healthcare or compliance certifications, knowledge of Medicaid policiesHealthcare or claims processing certifications, attention to detail
Work EnvironmentRegulatory agencies, government offices, compliance departmentsInsurance companies, healthcare providers, government Medicaid offices

Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.

What are popular job titles related to Medicaid Program Integrity jobs in Alabama?

For Medicaid Program Integrity jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Integrity jobs in Alabama look for?

The top searched job categories for Medicaid Program Integrity jobs in Alabama are:

What cities in Alabama are hiring for Medicaid Program Integrity jobs?

Cities in Alabama with the most Medicaid Program Integrity job openings:

Medicaid Program Integrity jobs near you
Infographic showing various Medicaid Program Integrity job openings in Alabama as of August 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution.

Financial Counselor (Part-Time, 24 hours a week)

Mobile, AL • On-site

Ohio Health
Hospitals • 10K+ employees
Learn more about Ohio Healthexternal

$18.75 - $24.50/hr

Part-time

Re-posted 8 days ago

Key responsibilities

  • Interview patients face-to-face to determine eligibility for financial assistance programs and verify Medicaid qualifications.

  • Visit patients to collect payments for Medicare deductibles and inpatient copays, and request collections from auto accident insurance carriers.

  • Handle all face-to-face patient inquiries related to non-clinical issues, including complaints and account questions.

OhioHealth rating

7.0

Company rating: 7.0 out of 10

Based on 343 frontline employees who took The Breakroom Quiz

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary:

This position provides face-to-face interaction with patients and/or their families regarding point-of-service collections, financial assistance programs, Medicaid eligibility and qualifications. This position is the lead for all face-to-face patient direct inquiries/concerns regarding account balances, financial assistance, insurance information, payment arrangements and any other non-clinical related questions.

Responsibilities And Duties:

40%
Interviews patients face to face for financial assistance programs, eligibility and qualifications to ensure OhioHealth's charity policy and procedures are followed and appropriately offered to all patients, regardless of their ability to pay. Maintains the integrity of all patients requesting assistance. Works with State of Ohio County Case Workers to apply, qualify, and verify eligibility of Medicaid participants.
20%
Visits face to face with patients for collection opportunities of Medicare deductible and inpatient commercial copays, which directly affects the overall financial results of OhioHealth.
20%
Calls and requests collections of med pay on all auto accidents. Provides all necessary detail and documentation to carrier to ensure foremost and prompt payment of any and all available benefits to OhioHealth.
10%
On site lead to handle all face to face direct patient inquiries for non-clinical related issues, including irate and/or complaints.
5%
Works directly with outside eligibility vendor and is responsible to quality review their work.
5%
Provides cost information to patients.
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

3 to 5 years of equivalent Experience . Work requires the analytical skills to read and understand instructions, and strong decision making skills. Work requires good organizational skills and ability to prioritize tasks. Work requires ability to visit patient rooms and walk 4 hour per day. Work requires communication skills (verbal written. telephone) necessary to explain policies or procedures, relay patients needs to appropriate personnel, or otherwise communicate with others in situations requiring sensitivity and tact. Work requires basic computer typing skills. Work requires the ability to follow the work of other staff members. Work requires understanding of basic office machines (photocopies, fax, phone)

Work Shift:

Day

Scheduled Weekly Hours :

24

Department

Multi Spec Follow Up Clinic

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

What OhioHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About OhioHealth

Sourced by ZipRecruiter

OhioHealth is a not-for-profit, faith-based health system based in Columbus, Ohio, US. Operating since 1981, it is one of the largest and most comprehensive health systems in its area of operation. OhioHealth's business is grounded at the union of the healthcare and medical industry. The organization provides a full range of healthcare services from acute hospital care to rehabilitative and long-term care, including medical research and development.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

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